Thomas Michael Basch, MD in Wyoming, MI

Thomas Michael Basch, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Wyoming, Michigan. His current practice location is 2147 Health Dr Sw Ste 100, Wyoming, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 281-1600.

Thomas Michael Basch is licensed to practice in Michigan (license number 4301063063) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619930575.

Contact Information

	Thomas Michael Basch, MD
	2147 Health Dr Sw Ste 100, Wyoming, MI 49519-9675
	(616) 281-1600
	(616) 281-2247

Map and Direction

Physician's Profile

Full Name	Thomas Michael Basch
Gender	Male
Speciality	Pain Medicine - Interventional Pain Medicine
Location	2147 Health Dr Sw Ste 100, Wyoming, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619930575
Provider Enumeration Date: 04/10/2006
Last Update Date: 05/06/2021

Medicare PECOS Information:

PECOS PAC ID: 9234271628
Enrollment ID: I20100122000728

Medical Identifiers

Medical identifiers for Thomas Michael Basch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619930575	NPI	-	NPPES
P00061534	Other		RAIL ROAD MEDICARE
7000034231	Other		PRIORITY HEALTH
4606551-10	Medicaid	MI
5070255	Other		CIGNA
4606560-10	Medicaid	MI
550415528	Other	MI	BLUE CROSS BLUE SHIELD
4514558-10	Medicaid	MI
16642	Other		HEALTH PLAN OF MICHIGAN
7624881	Other		AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LP2900X	Anesthesiology - Pain Medicine	4301063063 (Michigan)	Secondary
208VP0014X	Pain Medicine - Interventional Pain Medicine	4301063063 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Thomas Michael Basch allows following entities to bill medicare on his behalf.

Entity Name	West Michigan Pain Center PC
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447973060 PECOS PAC ID: 1355717331 Enrollment ID: O20221017000292

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas Michael Basch is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Thomas Michael Basch, MD 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, MI 49512-2091 Ph: (616) 940-2662	Thomas Michael Basch, MD 2147 Health Dr Sw Ste 100, Wyoming, MI 49519-9675 Ph: (616) 281-1600

Thomas Michael Basch, MD - Medicare Pain Medicine in Wyoming, MI